Using the Consolidated Framework for Implementation Research (CFIR) to Identify Barriers and Facilitators to Adoption of a Digital Quality Improvement Portal across a National Type 1 Diabetes Collaborative
Author Block: ALYSSA B. CABRERA, CLAIRE RAINEY, DHRUVI VORA, NICOLE RIOLES, Boston, MA
Introduction and Objective: To optimize implementation of a digital Quality Improvement (QI) portal across a national Type 1 Diabetes (T1D) collaborative, we applied the Consolidated Framework for Implementation Research (CFIR) to identify determinants of adoption and guide targeted strategies. The portal aggregates EMR data to support benchmarking, Plan-Do-Study-Act cycles, and population-level QI insights.
Methods: A survey assessed portal confidence and support needs, mapped to CFIR domains (Intervention Characteristics, Inner Setting, Characteristics of Individuals). A live brainstorming session explored Process-related needs. Feedback informed an implementation logic model.
Results: Confidence varied: 33% of adult and 56% of pediatric centers were completely/fairly confident. Barriers included data quality (n=20), training (n=20), and usability/value (n=14). Twenty-eight participants highlighted the portal’s value for benchmarking and identifying care gaps.
Conclusion: CFIR-guided assessment identified actionable determinants, informing strategies including in-portal data supports, onboarding hours, and UX refinements to strengthen portal use, implementation climate, and improve diabetes outcomes.
